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Ralph Thane Wiegman

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NPI Number Detailed Information

Provider Information:

Name: Ralph Thane Wiegman
Gender: M
Provider License Number If Given: F2113

NPI Information:

NPI: 1508852310
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/27/2005

Last Update Date: 7/8/2007

Reputation Report:

Provider Business Mailing Address:

Address: 643 S GREAT SOUTHWEST PKWY STE 102
Grand Prairie, TX 75051
Phone Number: 9726470994
Fax Number: 9726470521

Provider Business Practice Location Address:

Address: 643 S GREAT SOUTHWEST PKWY STE 102
Grand Prairie, TX 75051
Phone Number: 9726470994
Fax Number: 9726470521

Provider Taxonomy:

Primary: 207V00000X
Secondary (if any):
State: TX

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About Ralph Thane Wiegman

Ralph Thane Wiegman ( RALPH THANE WIEGMAN ) is An Obstetrics & Gynecology Physician in Grand Prairie, TX. The NPI Number for Ralph Thane Wiegman is 1508852310.
The current location address for Ralph Thane Wiegman is 643 S GREAT SOUTHWEST PKWY STE 102 Grand Prairie, TX 75051 and the contact number is 9726470994 and fax number is 9726470521. The mailing address for Ralph Thane Wiegman is 643 S GREAT SOUTHWEST PKWY STE 102 Grand Prairie, TX 75051- 9726470994 (mailing address contact number - 9726470994).
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Provider Business Location on Map

FAQs:

What is the NPI Number for Ralph Thane Wiegman ?


Answer: The NPI Number for Ralph Thane Wiegman is 1508852310

Where is Ralph Thane Wiegman located?


Answer: Ralph Thane Wiegman is located at 643 S GREAT SOUTHWEST PKWY STE 102 Grand Prairie, TX 75051.

What is the specialty for Ralph Thane Wiegman ?


Answer: The Specialty of Ralph Thane Wiegman is An Obstetrics & Gynecology Physician.

Are there any online reviews for Ralph Thane Wiegman ?


Answer: Yes! Check It Now.

Are there any other health care providers in Grand Prairie, TX?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Ralph Thane Wiegman

Number of HCPCS 5
Number of Medicare Beneficiaries 49
Number of Services 58
Total Submitted Charge Amount 9010
Total Medicare Allowed Amount 7618.73
Total Medicare Payment Amount 5297.34
Total Medicare Standardized Payment Amount 5380.25
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 5
Number of Medicare Beneficiaries With Medical 49
Number of Medical Services 58
Total Medical Submitted Charge Amount 9010
Total Medical Medicare Allowed Amount 7618.73
Total Medical Medicare Payment Amount 5297.34
Total Medical Medicare Standardized Payment Amount 5380.25
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 34
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 49
Number of Male Beneficiaries 0
Number of Non-Hispanic White Beneficiaries 35
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.57
Percent (%) of Beneficiaries Identified With Hypertension 0.47
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.6012

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Obstetrics & Gynecology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 398
Number of Standardized 30-Day Fills 858.1
Aggregate Cost Paid for All Claims 40940.19
Number of Day's Supply for All Claims 24403
Number of Medicare Beneficiaries 91
Number of Claims, Including Refills, for Beneficiaries Age 65+ 372
Including Refills, for Beneficiaries Age 65+ 814.7
Beneficiaries Age 65+ 39106.99
Number of Day's Supply for All Claims for Beneficaries Age 65+ 23150
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 71
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 327
Aggregate Cost Paid for Generic Drugs 15895.32
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 107
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 17977.8
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 291
Aggregate Cost Paid for Claims Filled by 22962.39
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 46
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 4750.84
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 352
by Low-Income Subsidy 36189.35
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 70.967032967
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 48
Number of Black or African American
Number of Asian Pacific Islander 29
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 72
Average Hierarchical Condition Category 0.767780987

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